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Wayne Foot & Ankle Center fax number

(404) 497-4053

Medical Records

Used for: Medical records request

Fax destination details

Department
Medical Records
Purpose
Medical records request
Form
Medical Records Release Authorization Form — Medical Records Release Authorization Form
Address
Wayne, NJ 07470: 246 Hamburg Turnpike, Suite 204, Wayne, NJ 07470
Voice phone
973-595-8900

Before you send

  • Confirm that this exact department handles your document or request.
  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Complete the Medical Records release authorization form at the bottom of the Medical Records page and hit 'submit'; for non-patients who wish to request records, fax the request to 404-497-4053.

Review official form instructions

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